11 results
Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis - Kupperman et al. NEJM 2018

https://www.nejm.org/doi/full/10.1056/NEJMoa1716816
Study
Clinical Trial of ... generally our biggest causes ... over fluids and start ... out what does cause ... VisualAbstract #Peds
The FAST exam from the case in this episode reveals a massive hemopericardium with tamponade. RV
exam from the case ... Crazy case with ... Emergency Medicine #Clinical ... #Peds #Trauma # ... POCUS #PSAX #Echocardiogram
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Bilateral B-Lines in case ... Pneumonia on Lung POCUS ... POCUS lung exam ... travel hx, home meds ... #clinical #ultrasound
Do you start Anti-Epileptic Drugs (AEDs) on a first time seizure?

SHINE Mnemonic:
 • first seizure occurred
Do you start Anti-Epileptic ... Drugs (AEDs) on ... Remote Symptomatic Cause ... Remote Symptomatic Cause ... #Algorithm #Neurology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
just simply a clinical ... range of possible clinical ... to be in ADHF starts ... the determined cause ... #differential #algorithm
IDSA Algorithm for the Management of Purulent skin and soft tissue infections (SSTIs). 
Mild infection: for
IDSA Algorithm for ... erysipelas with no focus ... or those with clinical ... including those caused ... #SSTIs #Algorithm
Apical 2-Chamber (A2C) Window on POCUS Echocardiogram

Helpful to distinguish anterior and inferior regional wall motion abnormalities.
A2C) Window on POCUS ... In this case, severely ... mural thrombus (star ... #a2c #window #pocus ... echocardiogram #clinical
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
Buprenorphine Initiation Algorithm ... Adjunctive meds ... q 6 hours PRN nausea ... 1, then day 2 start ... withdrawal, then start
Peripelvic Cyst on Renal POCUS
60s f admitted with acute pyelonephritis, CT scan reveals no hydronephrosis/stone/abscess, continues
Sonopalpation - localization ... , with clinical ... cysts may be a cause ... occasionally may cause ... #kidney #clinical
Ebstein Anomaly on Echocardiogram

Ebstein anomaly. The tricuspid valve is ALWAYS more apically displaced than the mitral
commonest congenital cause ... flow acceleration starts ... Ebstein #Anomaly #POCUS ... #clinical #Echocardiogram